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November 28, 1903


Author Affiliations

Instructor in Obstetrics, Harvard University Medical School. BOSTON.

JAMA. 1903;XLI(22):1338-1341. doi:10.1001/jama.1903.92490410028001e

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Artificial dilatation of the cervix uteri during labor is a well-recognized obstetric expedient, which is not only of great value in certain cases as a means of accelerating tedious labor, but also becomes an absolutely necessary method of procedure in many instances where the life of the mother or of the child may be dependent on prompt delivery.

The problem of the safe and efficient mechanical dilatation of the rigid cervix of the pregnant uterus is an interesting one which has not as yet been entirely and satisfactorily solved, although there are many methods and a considerable number of instruments devised for the purpose. Under the head of mechanical dilatation of the cervix the writer would include all forms' of artificial dilatation whether performed by the hand, by dilating bags, or by instruments.

Bougies and gauze introduced into the uterus, the latter device being known as tamponade of the cervix,

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